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Waste, Fraud, & Abuse News

San Francisco Business Times: California hospitals overcharged Medicare by $367 million, audit says

  California leads the nation in Medicare waste, with nearly $376 million in Medicare over-billings in fiscal year 2012. The results are concerning in light of Congress’ recent decision to suspend Medicare auditing for 18 months, which will allow rampant waste to persist across the country. To read the full story from San Francisco Business […]

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CAGW: Medicare Fraud: All Talk, No Action

  Government watchdog group, Citizens Against Government Waste, is calling out members of Congress for failing to combat rampant Medicare waste in the interest of appeasing special interest groups.   Read more from Citizens Against Government Waste here.

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Bloomberg BNA: ‘Doc Fix’ Law Delays Two-Midnight Rule, Changes Clinical Lab Reimbursement

  On April 1, the President signed the Protecting Access to Medicare Act of 2013, which suspends auditing of inpatient hospitals by the Recovery Audit Contractor (RAC) program for 18 months. Ultimately, the decision sets a precedent of using the RAC program as a bargaining chip with special interest groups. Read the full article from […]

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CQ Health Beat: ‘Doc Fix’ Bill Addresses Hospital-Auditor Dispute By Freezing Rule

  Legislation passed by Congress this week suspends Medicare oversight by Recovery Audit Contractors (RACs) for 18 months, at a loss of billions to the Medicare Trust Fund. The legislation also sets a precedent of suspending Medicare auditing in order to get buy-in on policy changes from special interest groups. Subscribers to CQ Health Beat […]

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Health Data Management: Groups Have Swift, Sharp Reactions to Senate Approval of ICD-10 Delay

  On March 31, 2014, the Senate passed the Protecting Access to Medicare Act of 2014 (H.R. 4302), which extends the current delay of Medicare auditing of inpatient hospitals – which account for 91% of Medicare over-billings – until March 2015. The passage of the bill will yield a multi-billion loss to the Medicare Trust […]

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Congress Sanctions Loss of Billions to Waste, Fraud and Abuse

  FOR IMMEDIATE RELEASE March 31, 2014 CONTACT:  Becky Reeves becky.reeves@rubinmeyer.com (202) 898-0995 Congress Sanctions Loss of Billions to Waste, Fraud and Abuse     ‘Doc Fix’ legislation absolves inpatient hospitals of Medicare oversight for 18 months, Sets precedent of using RAC program as ‘bargaining chip’ for special interest groups Washington, D.C. – The American Coalition for […]

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Coalition Urges Senate to Amend ‘Doc Fix’ Bill, Remove Anti-Oversight Provision

  The American Coalition for Healthcare Claims Integrity today sent the following letter to the U.S. Senate, urging lawmakers to amend the ‘doc fix’ bill, scheduled for a vote this afternoon. If passed in its current form, the legislation would absolve inpatient hospitals – which account for 91% over-billings to Medicare – from auditing by the Recovery […]

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Bloomberg: CMS Says RACs Recovered $2.3 Billion In Overpayments in Fiscal Year 2012

  According to a report released by the Centers for Medicare and Medicaid Services (CMS) this week, the Recovery Audit Contractor (RAC) program saved taxpayers $2.3 billion in FY2012 through Medicare oversight, and made significant progress toward eliminating Medicare waste. Subscribers to Bloomberg can read the full article here.  

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Inside Health Policy: RACs Returned Almost $2 Billion To Medicare In Fiscal 2012

  On Tuesday March 25, the Centers for Medicare and Medicaid Services (CMS) released its annual Recovery Audit Contractor (RAC) Program report to Congress, noting the program’s significant progress toward eliminating waste, fraud and abuse in Medicare.   Subscribers to Inside Health Policy can access the full story here.

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Health Data Management: House ‘Doc-Fix’ Bill Would Extend Two-Midnight Enforcement

  Lawmakers are set to vote today on a bill that would extend the current suspension of Medicare oversight by an additional six months. Given the extent of waste, fraud and abuse in Medicare, the provision will hasten the insolvency of the Medicare Trust Fund and force taxpayers and seniors to shoulder the burden of […]

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